CLYDE L. JOHNSON JR. (NPI# 1124007851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124007851 |
| Entity Type | Individual |
| Full Name | CLYDE L. JOHNSON JR. |
| Credential | M.D. |
| Practice Address |
1051 Johnston Willis Dr. St. 200 Richmond VA 23235 |
| Practice Telephone | 8043202705 |
| Practice Fax Number | 8043302433 |
| Mailing Telephone | 8043202705 |
| Mailing Fax Number | 8043302433 |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2010-03-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 0101-223144 | VA | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 0101223144 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 7310871 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821256223 | Clyde D Johnson Jr. | Physician Assistant | 5881 Glendrige Dr Ne, Suite 120, Atlanta, GA 30328 | 2008-06-02 |
| 1447749056 | Clyde Johnson IIi | Community/Behavioral Health | 2525 Tiller Lane Ste 110, Columbus, OH 43231 | 2018-05-09 |
| 1063766723 | Clyde Francis Johnson | Chiropractor | 7940 S University Blvd, Ste 100, Centennial, CO 80122-5104 | 2012-11-02 |
| 1568767317 | Clyde Johnson | Counselor | 930 N 14th St, New Castle, IN 47362-4311 | 2011-01-25 |
| 1962579375 | Clyde W Johnson | Physical Therapist | 1200 112th Ave Ne Ste C260, Bellevue, WA 98004 | 2006-11-29 |
| Street Address |
1051 JOHNSTON WILLIS DR. ST. 200 |
| City | RICHMOND |
| State | VA |
| Zip Code | 23235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942286042 | David A. Bettinger | Surgery | 1051 Johnston Willis Dr., St. 200, Richmond, VA 23235 | 2005-12-20 |
| 1457339434 | Raymond G. Makhoul | Surgery | 1051 Johnston Willis Dr., St. 200, Richmond, VA 23235 | 2006-01-09 |
| 1548248966 | Richard L Binns | Surgery | 1051 Johnston Willis Dr., St. 200, Richmond, VA 23235 | 2006-01-05 |
| 1538146238 | Steven E. Swartz | Surgery | 1051 Johnston Willis Dr., St. 200, Richmond, VA 23235 | 2005-12-23 |
| 1366429037 | Venkataraman Santosh | Surgery | 1051 Johnston Willis Dr., St. 200, Richmond, VA 23235 | 2005-12-23 |
| 1023095718 | John W. Hyslop | Surgery | 1051 Johnston Willis Dr., St. 200, Richmond, VA 23235 | 2005-12-23 |
| 1558348250 | Ruth B. Felsen | Surgery | 1051 Johnston Willis Dr., St. 200, Richmond, VA 23235 | 2005-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588275770 | Melani Jones | Social Worker | 10825 Midlothian Turnpike Ste 201r, Richmond, VA 23235 | 2020-08-12 |
| 1447880109 | Sara Hudson | Pharmacist | 2821 Hicks Rd, North Chesterfield, VA 23235 | 2020-01-22 |
| 1730729096 | Mary Tabitha Varney | Counselor | 101 Buford Rd. Unit 110, North Chesterfield, VA 23235 | 2020-01-14 |
| 1093355133 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 2015 Huguenot Road, North Chesterfield, VA 23235 | 2020-01-07 |
| 1255975983 | Louise Rutledge | Psychiatry & Neurology | 1429 Buford Rd, N. Chesterfield, VA 23235 | 2019-11-06 |
| 1114489317 | Therapeutic Learning Consortium LLC | Counselor | 8154 Forest Hill Ave Ste 2, North Chesterfield, VA 23235 | 2019-04-05 |
| 1013400332 | Shawmika Wright | Social Worker | 1301 Whitehead Road, Richmond, VA 23235 | 2018-06-11 |
| 1912490608 | Cara Whiting | Physical Therapist | 1400 Johnston Willis Dr Ste B, North Chesterfield, VA 23235 | 2018-06-07 |
| 1003324682 | David E Fortin | Hearing Instrument Specialist | 10441 Midlothian Turnpike, Richmond, VA 23235 | 2018-01-17 |
| 1053836544 | Hannah Katherine Chisholm | Physical Therapist | 1400 Johnston-willis Drive, Richmond, VA 23235 | 2017-08-07 |
| Find all providers in zip 23235 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508388554 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Surgery | 5875 Bremo Rd Ste 110, Richmond, VA 23226-1934 | 2017-07-12 |
| 1952668667 | Catalina Mosquera | Surgery | Vcuhs Dept of General Surgery/ Surgical Oncology, 1250 E. Marshall Street, Richmond, VA 23298 | 2012-04-19 |
| 1700151586 | Manikoth G Kurup | Surgery | 126 Lindenhurst, Richmond, VA 23238-6163 | 2012-03-13 |
| 1467725564 | James Ryland Darden Jr. | Surgery | 9960 Mayland Dr, Richmond, VA 23233-1485 | 2012-02-21 |
| 1487922183 | Bon Secours-virginia Healthsource Inc | Surgery | 5855 Bremo Rd Ste 506, Richmond, VA 23226-1925 | 2011-12-08 |
| 1790075570 | Sylvester N Osayi | Surgery | 1050 Reid Parkway, Suite 120, General Surgeons, Richmond, IN 47374-1156 | 2011-04-13 |
| 1720383953 | Wyatt Sanford Beazley IIi | Surgery | 2320 Monument Avenue, Richmond, VA 23220-2604 | 2011-01-19 |
| 1881823821 | Peter E Miller | Surgery | 7605 Forest Ave Ste 308, Richmond, VA 23229-4939 | 2009-07-13 |
| 1447417480 | Silas Mbasera Chikunguwo | Surgery | 3406 Bartley Pond Pl, Surgery, Richmond, VA 23233-1465 | 2008-05-19 |
| 1598969180 | Terrell Ann Singleton | Surgery | 5418 W. Grand Parkway South, Suite C, Richmond, TX 77406-5824 | 2007-06-14 |
| Find all providers in RICHMOND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.